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Details

Neurological Pathologies
Problems and Ns Interventions
14
Nursing
Undergraduate 1
01/15/2012

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Cards

Term
What are the top three Ns Dx for Parkinson's Disease?
Definition
1. Maximize neuro functioning (meds/surg/Nutrition) 2. Maintain independence ADL as long as poss 3. Optimize psychosocial well being
Term
Problems typically experienced by people with Multiple Sclerosis?
Definition
Insomnia, urinary frequency, dysphagia, fatigue, tingling/numbness, impotence/decreased libido, anger/depression, euphoria
Term
Myasthenia Gravis
Definition
Fluctuating weakness of skeletal muscle, strength restored after pds of rest (esp EYES/LIDS, chewing, swallowing, speaking, breathing)--strong in AM progressive weakness throughout day to exhaustion.
Term
Amyotrophic Lateral Sclerosis (Lou Gehrig's Disease)
Definition
Weakness of the UPPER EXTREMITIES can begin in legs, dysarthria, dysphagia, muscle wastings, fasciculations. Facilitating communication, reduce risk aspiration, decreasing pain 2o to muscle weakness
Term
Alzheimer's Disease
Definition
initially see subtle deterioration in memory, difficulty performing familiar tasks, a/dys/phagia, decreased judgement, problems w abstract thinking, misplacing things, rapid mood swings, dramatic personality changes, loss of initiative
Term
Botulism
Definition
Death may occur from respiratory paralysis or circulatory failure, administer anti botulinum toxin via IV to slow progression but not reverse it, GI tract is purged by non Mg laxatives, enemas, etc. CARE--supportive ns interventions including REST, MAINTAIN RESPIRATORY FXN, adequate nutrition, prevention and loss of muscle mass.
Term
Spina Bifida
Definition
Causes paralysis, orthopedic abnormalities like club foot/scoliosis, eye movement abnormalities
Term
Neurofibromatosis
Definition
NF1 can have few or no side effects otherwise can have debilitating cosmetic and psych issues, acute pain.
Term
Subdural Hematoma
Definition
CT scan to diagnose head trauma--maintain adequate cerebral O2 and perfusion; MONITOR LOC and report any changes to primary health care provider, elevations in body temp can increase ICP (Incr CSF and cerebral blood vol)
Term
Epidural Hematoma
Definition
NEUROLOGIC EMERGENCY--rapid surgical intervention and interventions to manage increasing ICP.
Term
Aneurysm (Cerebral)
Definition
may have warning symptoms if the ballooning impinges on brain tissue or minor warning symptoms may result from leaking of aneurysm before a rupture...
Term
Huntingtons Disease
Definition
TREATMENT
Term
Brain Abscess
Definition
antimicrobial treatment, treat symptoms similarly to meningitis or ICP.
Term
Trigeminal Neuralgia
Definition
Teach pt to avoid hot/cold stimulus, take meds, proper oral care, nutrition and stress management.
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